Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beaverton Dental Group PC

Organization General Practice Dentistry · NPI 1093110975

Beaverton Dental Group PC provides General Practice Dentistry in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12755 SW 2nd St
Beaverton, OR 97005-2767 Not confirmed with CMS for 11 years — call before visiting
Phone: (503) 644-1126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7463 (OR)

Record details

NPI number1093110975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Lee — Owner · (503) 644-1126
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014
Mailing address12755 Sw 2nd St, Beaverton, OR 97005-2767

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